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Youth College
Home
»
Community Education
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Instructors
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New Instructors
Course Proposal Form
Instructor Name:
first and last
Street Address:
City, State, Zip:
Phone Number:
Phone type:
- None -
Day
Evening
Cell
Fax Number:
E-mail address:
Web site, if applicable:
Topic area:
Suggested Course Title:
Subtitle:
Course Description :
Objectives of Course:
at least three
Why should we offer this course?:
Make certain you have reviewed the current schedule to ensure your proposal is not a duplicate.
Who is the target audience and how will they benefits from taking this course?:
Qualifications:
a brief description of your experience in this subject, including any professional certifications related to you
Number of meetings:
- None -
1
2
3
4
5
6
7
8
9
10
Days:
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Beginning Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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31
Year
2009
2010
2011
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2015
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2020
2021
2022
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2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
End Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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5
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11
12
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15
16
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18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
Time:
hour
1
2
3
4
5
6
7
8
9
10
11
12
-:
minute
00
15
30
45
-:
am
pm
Exceptions:
e.g., skips 12/25, Christmas, Memorial Day, Independence Day, Labor Day, Thanksgiving Day
Location:
- None -
ACC Littleton Campus
Art and Design
ACC Parker Campus
OTHER
if "OTHER", specify:
Will supplies need to be provided by student?:
Yes
No
If yes, what will students need to provide? What will the approximate cost to the student be?:
Will you be collecting a materials fee from the students for handouts, supplies, and/or other items?:
Yes
No
If yes, what is that fee?:
$
What will it provide?:
Maximum course size recommended:
Minimum course size recommended if other than 6:
Special equipment needed:
Computer projection
Internet access
Other
hold the CTRL key down when clicking to select multiple options
Additional information or clarifications you would like to add:
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